Individual provider Active NPI

Duane E Kreil, M.D.

  • Obstetrics Physician
  • Dearborn, MI
National Provider Identifier
1427013184
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
DK058272 Issued in MI
Practice address
22074 Michigan Ave
Dearborn, MI 48124-2353
Phone
(313) 565-9510
Fax
(313) 565-4410
NPI assigned
Apr 18, 2006
Last updated
Mar 13, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X DK058272 MI Primary

Addresses

Primary practice location

22074 Michigan Ave
Dearborn, MI 48124-2353

Mailing address

5029 Village Square CT
W Bloomfield, MI 48322-3379
Phone (248) 788-3761

Other identifiers 9

IdentifierTypeStateIssuer
160H261380OtherMIBCBSM/BCN
G08062OtherMIHAP
4363533MedicaidMI
015098OtherMIMIDWEST HEALTH PLANS
125116OtherMICARE CHOICES
47526OtherMIOMNICARE HEALTH PLAN
P87561OtherMIBCN
4312641MedicaidMI
5338131OtherMIAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308000058 MI Practitioner - Obstetrics/Gynecology 3577451079 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kreil and Rochefort PLLCGroup PAC ID 9739128414, 2 clinicians

Practice addresses (Care Compare)

22074 Michigan Ave
Dearborn, MI 48124-2353
Phone (313) 565-9510

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DK058272MIMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakwood Ambulatory LLC Obstetrics & Gynecology CurrentSince Aug 28, 2015 Accepting new patients
Oakwood Ambulatory, LLC CurrentSince Aug 28, 2015 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Aug 29, 2018 Accepting new patients
Kreil and Rochefort PLLC Obstetrics & Gynecology CurrentSince Dec 29, 2013 Accepting new patients
Oakwood Healthcare, Inc. Past Accepting new patients

Locations

201 3rd St
Ste 200
Belleville, MI 48111
Phone (734) 697-9065

1711 Monroe St
Dearborn, MI 48124
Phone (313) 359-9361

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

18181 Oakwood Blvd
Ste 410
Dearborn, MI 48124
Phone (313) 271-0066

22074 Michigan Ave
Dearborn, MI 48124
Phone (313) 565-9510

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

26650 Eureka Rd
#C1
Taylor, MI 48180
Phone (734) 941-4991

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

Interoperability endpoints

  • Direct secure messaging: dkreil1242408@epic00.shdirect.org
  • Direct secure messaging: duane.kreil.1@21805.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1427013184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5029 VILLAGE SQUARE CT",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223379",
            "telephone_number": "248-788-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22074 MICHIGAN AVE",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242353",
            "telephone_number": "313-565-9510",
            "fax_number": "313-565-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIL",
        "first_name": "DUANE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MI",
            "license": "DK058272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM/BCN",
            "identifier": "160H261380",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "G08062",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4363533",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDWEST HEALTH PLANS",
            "identifier": "015098",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "125116",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMNICARE HEALTH PLAN",
            "identifier": "47526",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P87561",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4312641",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5338131",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

Verify at the official NPI Registry.